<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>FeedBack Form</title>
</head>
<body>
<div><p>Please complete this form to submit your feedback</p>
<form action="testAction/handleForm.php" method="POST">
  <p>Name:
  <select name="title">
     <option value="Mr.">Mr.</option>
     <option value="Mrs.">Mrs.</option>
     <option value="Ms.">Ms.</option>
  </select> <input type="text" name="name" size="20" /></p>
  
  <p>Email Address:<input type="text" name="email" size="20" /></p>
  <p>Response: This is...
  <input type="radio" name="response" value="excellent" /> excellent
  <input type="radio" name="response" value="okay" />okay
  <input type="radio" name="response" value="boring" />boring
  </p>
  
  <p>Comments:<textarea name="comments" rows="3" cols="30"></textarea></p>
  <input type="submit" name="submit" value="Send My Feedback" />
  
</form></div>
</body>
</html>